应用不同量表测量市级医院ICU护理工作量的研究  

Research in measurement of nursing workload in ICU in municipal hospitals by using different scales

作　　者：廖常菊 温晓平[1] 杨明全[1] 邹雪梅[1] 王芳[2] 张会礼[1] 明淑兰 

机构地区：[1]四川省自贡市第一人民医院,643000 [2]四川省自贡市第三人民医院

出　　处：《中国实用护理杂志》2012年第34期4-6,共3页Chinese Journal of Practical Nursing

基　　金：四川省卫生厅2010年科研立项项目（100603）

摘　　要：目的测量ICU护理工作量，为科学配置ICU护理人力资源和合理排班提供依据。方法选择2011年7-9月人住自贡市第一人民医院ICU和第三人民医院ICU的患者，应用治疗干预评分系统28版（aass。28）和护理活动量表（NAS）联合测量护理工作量，记录每班护士人数。结果两种量表测量的周一至周日每天总的护理工作量比较和周一至周日每天人均护理工作量比较差异无统计学意义；不同班次护士的人均护理工作量比较和甲乙2所ICU满足工作需要的护患比比较差异有统计学意义。结论ICU护理人员的排班应均衡到每一天、每一班。ICU护理人力的配置应以实际工作量测算为基础，不仅要考虑床位使用率、病种、病隋、患者的自理能力和合作能力，还要考虑护士自身技能熟练程度。Objective To measure the nursing workload in ICU, and provide the basis for the scien- tific distribution of human resources and reasonable scheduling in ICU. Methods ICU patients of the First and Third People＇s Hospital of Zigong from July to September,2011 were selected. The TISS-28 and NAS were applied to measure the nursing workload in the ICU. The number of staff nurses on each day and on each shift was recorded. Results The total nursing workload and the per capita nursing workload for each day in a week showed no significant difference, and the per capita nursing workload of different shifts and the needs of nurse-patient ratio of different patients in ICU were significantly different. Conclusions The al- location of nursing staff should be balance for each day in a week and different shifts for each day. The con- figuration of the nursing human resources should be based on actual nursing workload, no only considering the species of the diseases, the disease condition, self-care ability and cooperation of the patients, but also the proficiency of nurse skills.

关 键 词：护理活动量表 治疗干预评分系统 ICU 护理工作量 护患比 

分 类 号：R47[医药卫生—护理学]